All Articles In 'Tag Archives: 'Health Reform''
Medicare-Medicaid Dual Eligibles: Learn Basics of $350 Billion Market at Webinar on May 23, 2012
The nation’s 9 million Medicare-Medicaid dual eligibles - low-income frail seniors and persons of all ages with severe disabilities - now use about $350 billion in healthcare annually. States and CMS are rolling out models to integrate Medicare [...]
Health Reform Implementation: Milestones for State Implementation of Health Insurance Exchanges, Medicaid Expansion, and Health Insurance Market Reforms
Under the Affordable Care Act (ACA), states are responsible for implementing a complex array of health reforms, most notably Health Insurance Exchanges, Medicaid expansion, and health insurance market regulations. ACA presents states, particularly state Medicaid agencies [...]
Health Insurance Administrative Expenses: Details on Administrative Expenses of Health Plans in Large Group, Small Group, and Individual Markets
Health insurance plans are required to report their administrative expenses. For health plans in the for the large group, small group, and individual insured markets, an new report from Milliman details insurers’ administrative expenses in five [...]
Essential Health Benefits: Preliminary Analysis of Essential Health Benefits and Potential Benchmark Health Benefit Plans for Virginia
The Patient Protection and Affordable Care Act (ACA) requires benefit plans offer a minimum set of essential health benefits. Those include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use [...]
Health Insurance Exchanges: Options for Financing the Operating Cost of Exchange
A new report outlines the key principles and various options for funding the operating costs of Health Insurance Exchanges mandated under the Affordable Care Act. Nevada’s Silver State Health Insurance Exchange describes methods other states are [...]
Guaranteed Issue and Community Rating Reforms: Actuarial Analysis of Impact on Individual Health Insurance Markets
In previous research, Milliman, one of the nation’s top actuarial firms, provided an overview of the impact made by guaranteed issue and community rating reforms on the health insurance markets within eight states in the 1990s. Retained [...]
Individual Mandate: Projecting the Strength of the Individual Mandate on Health Insurance Participation
The Affordable Care Act (ACA) requires that most Americans have health insurance that meets minimum federal requirements. Under the controversial mandate, starting in 2014, most individuals under 65 must purchase minimum essential health insurance coverage or [...]
Health Reform: Toolkit on State Implementation, Outreach, Education, and Enrollment
As part of the Health Reform Toolkit Series, the Blue Cross Blue Shield of Massachusetts Foundation, the Robert Wood Johnson Foundation, and the Commonwealth Health Insurance Connector Authority have published Effective Education, Outreach, and Enrollment Approaches [...]
National Health Reform: HSC Reports on Premium Subsidies and Exchanges for the Uninsured
A new report examines individual eligibility for federal premium subsidies in Health Insurance Exchanges when employer-sponsored or public coverage is not available to them. Both federal premium subsidies and state or federally-run Health Insurance Exchanges are features starting in [...]
Accountable Care Organizations: Your Guide to Strategy, Design, and Implementation, by Marc Bard and Mike Nugent
Are you ready to be an Accountable Care Organization (ACO)? Significant new opportunities and challenges face health systems, hospitals, and physician practices as they decide whether to participate in the new Medicare Shared Savings Program and join together to [...]
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